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�-____ . <br /> everett '` CHART NO. <br />� e <br /> City of Everett <br /> Sewer Application anc! Permit <br /> NO. Lv��� DATE octnbwr 2��7oav _ <br /> Service Address _ �017 Ho1rt 1►v�. Utility Acwunt No. <br /> Billing Address 11525 19th 71w. 8E Permit Fee 1 50 <br /> City,State, Zip �rett, N1► 9l205 Connection Charge(s) <br /> Owner (Mortgagor) '� �� �loy�ont Total Fee 2 SO <br /> Billing Name �� <br />� Connection By a+� <br /> Address �� Signed �'%� <br /> —' /cus�omer <br /> Phone �37-1066 <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br />' Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Laterel <br />' Remarks: ,.o� <br />� � Abutting Lot LinflU/35/F#1 4t4bF4f UWrlll3141 t#Y:k <br /> N, S, E, W / ft. <br /> (Mk7Q?i113 <br /> !! B �..�CH 43.50 <br /> HOQ026914 <br /> 5£1�R EZ.50 <br /> Approved By 7� �` (lU <br /> ity Enp'ineer <br /> IMPORTANT! <br /> I Issued By' sYy�gangeee <br />, CALL 1500�424•5555 48•HOURS <br /> PRIOR TO D�GGING <br /> CALL 2595811 FOR INSPECTION <br /> . Inspection By <br />, Datelnspected <br /> SEE SKETCH ATTACHED NO. 2s914 <br /> INSPECTION <br />�I <br />�� I <br />